The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Basics of Office-Based Cognitive Behavioral Therapy for OCD

Sep 30, 2024
Discover the essential role of cognitive behavioral therapy in treating obsessive-compulsive disorder in clinical settings. Learn about the complexities of providing CBT for children and adolescents, including exposure therapy and barriers to access. Explore how to evaluate treatment efficacy and compare CBT with SSRIs. Find out how general prescribers can improve their OCD management skills with specialized training and resources. Dive into the unique relationship between OCD and anxiety disorders, highlighting the importance of tackling uncertainty in treatment.
20:20

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Quick takeaways

  • Cognitive behavioral therapy's exposure component is vital for helping OCD patients confront fears and tolerate distress effectively.
  • Access to competent OCD treatment is often hindered by clinician training gaps and a focus on medication over therapy integration.

Deep dives

Cognitive Behavioral Therapy for OCD

Cognitive behavioral therapy (CBT) is highlighted as an effective treatment for obsessive-compulsive disorder (OCD), particularly emphasizing the significance of the exposure-based component. Exposure is essential for patients to confront their fears and understand that the anticipated threats do not materialize, ultimately aiding in distress tolerance. Practitioners are encouraged to incorporate basic exposure techniques into their clinical practices, as they are crucial for successful outcomes in treating OCD. However, many clinicians may overlook the exposure aspect, which can limit the overall effectiveness of the therapy.

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